MEDICARE: YONGQING FENG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A100454	CA

General Provider Information

NPI Number	:	1497806988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONGQING FENG M.D.

Provider Business Mailing Address
First Line	:	18391 COLIMA RD STE 208
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	626-839-6633
Fax Number	:	626-839-6638

Provider Business Practice Location Address
First Line	:	18391 COLIMA RD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2730
Country	:	US
Telephone Number	:	419-357-7442
Fax Number	:	909-978-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	07/24/2020

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